Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY SULLIVAN, P.A.
ActiveJERRY SULLIVAN, P.A. is a Medical Physician Assistant healthcare provider located in TIFTON, Georgia. NPI 1629062724 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · TIFTON, GA
Registration Details
- NPI Number
- 1629062724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2005 (20.964867583027 yrs)
- Last Updated
- Apr 6, 2021
- License
-
004285 (GA)
Practice Information
- Address
-
2225 US HIGHWAY 41 NTIFTON, GA, 317942749Browse GA providers · Browse ZIP 31794
- Phone
- 2293914100
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in TIFTON, GA
| Name | Credential | NPI |
|---|---|---|
| MR. TERRY LEE MORGAN | P.A.C. | 1508930082 |
| MAUREEN JOHNSON | PA-C | 1598042616 |
| GARRETT BLALOCK | PA-C | 1558739003 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.